| NPI | 1295777647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME-0068549) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101051109) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2007-07-08 |